Midwives are practicing in diverse capacities in public and private health settings of Pakistan, including Non-Governmental Organizations (NGOs) such as the Aga Khan Health Service, Pakistan (AKHS, P), which is a leading non-profit, non-governmental and non-denominational community-based organization that provides quality maternal and child health services all over Pakistan. Maternal and child health centers led by registered Midwives and Lady Health visitors (LHV), were specifically established in Gilgit Baltistan in 1974 by this NGO as a strategy to combat the alarming rates of maternal and child mortalities.